Answering the question what is trigeminy can be difficult, but it is a term used in the field of cardiology, the study of the heart. Trigeminy refers to an irregular heartbeat or arrhythmia. Trigeminy may occur randomly or during specific intervals. The condition is more common in older individuals with underlying heart disorders such as coronary artery disease, mitral valve prolapse, and cardiomyopathy.
The rhythm of the heart is dictated by electrical impulses. These ensure the heart muscles contract efficiently enough to push the required amount of blood throughout the entire body. If the heart does not pump the necessary volume of blood, this can lead to various cardiac-related symptoms.
A trigeminy definition is as follows: it’s when there is a repetitive series of two normal heartbeats and one premature heartbeat. Every third heartbeat is said to be ectopic—starting from an area outside the sinus node that is normally responsible for setting the heart’s rhythm. This condition may also be called trigeminy PVC (premature ventricular contraction).
Ectopic rhythms may originate from many different parts of the heart and produce a premature heartbeat. Therefore, an ectopic beat may also be called a premature atrial contraction, premature ventricular contraction, or extrasystole.
The ventricles of the heart (the lower chambers) tend to be responsible for pumping the most blood due to their increased size and muscularity. An ectopic beat can result in the ventricles beating prematurely before normal depolarization has occurred. This is often represented on ECG (electrocardiogram) readings by wider and taller QRS complexes, which represent the activity of the ventricular muscles.
Trigeminy can occur in healthy individuals and at any age, but it is more common in older people and those suffering from some sort of cardiac disorder.
Major trigeminy causes involve some alteration in the function of the heart. This may include abnormal quantities of minerals and/or electrolytes in the bloodstream. Your body needs these substances for the proper functioning of cellular processes, including the operation of the heart and its rhythmic contractions. Low levels of minerals such as magnesium can lead to cardiac abnormalities, and they can be attributed to taking an excessive amount of diuretic medication.
Hormones may also influence heart function, such as when a rush of adrenaline leads to rapid heart rates. Sustained adrenaline can eventually interrupt the rhythm of the heart and contribute to the development of premature beats.
Increased stress levels and a lack of sleep can throw off the body’s metabolism and other processes. Stress can make your heart work overtime, potentially causing damage and irregular heart rhythms.
Causes of ventricular trigeminy may also include an underlying heart disorder or outside stimulation from various sources such as nicotine, alcohol, caffeine, certain medications, and certain illicit drugs like cocaine. Abnormal thyroid levels, inflammation, and reduced cardiac function as a result of age are also possible causes.
The signs and symptoms of trigeminy PVCs are the same as those of other kinds of arrhythmias. Trigeminy symptoms may include:
When a heart condition is suspected, a full workup including medical history and a physical exam will be done. This will provide any additional clues that can be used as evidence for further testing. Additional tests for diagnosing trigeminy include:
If a trigeminy-induced arrhythmia is acute in nature and leads to a loss of consciousness, CPR and electroshock therapy (defibrillation) are the recommended emergency treatments. Once the condition is more manageable, the following trigeminy treatment recommendations may be made.
To help lower your risk of complications, eat a healthy diet that is low in saturated fats, cholesterol, and sodium. Exercising in a manner that doesn’t excessively strain the heart will also help reduce your risk. It’s also recommended that you avoid smoking cigarettes and drinking excessive amounts of alcohol. The only way to preserve your heart health is to make these changes a part of your everyday life. Getting adequate amounts of sleep and reducing stress is also recommended.
Prescription heart medication can help reduce strain on the heart and prevent arrhythmias. Certain medications can also be used to improve heart function, depending on your particular circumstances. Cardiac medication may include:
In more severe cases of ischemic cardiomyopathy that cannot be controlled by medication alone, more invasive treatment methods are required. These may include: